Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,795.46 / $7,920.26 / $20,400.00	Facility		$1,795.46	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $731.20 / $1,103.79 / $2,580.17	Professional		$731.20	$1,103.79	$2,580.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $950.59 / $1,565.60 / $2,384.92	Professional		$950.59	$1,565.60	$2,384.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,527.05 / $1,788.67 / $2,145.89	Professional		$1,527.05	$1,788.67	$2,145.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,140.83 / $1,481.76 / $1,960.95	Facility		$1,140.83	$1,481.76	$1,960.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,223.22 / $1,409.01 / $2,171.15	Professional		$1,223.22	$1,409.01	$2,171.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,120.65 / $1,518.33 / $1,646.86	Facility		$1,120.65	$1,518.33	$1,646.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,140.83 / $1,594.64 / $3,865.00	Facility		$1,140.83	$1,594.64	$3,865.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,387.96 / $1,642.41 / $2,254.56	Professional		$1,387.96	$1,642.41	$2,254.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $44,945.62 / $65,879.63 / $78,393.52	Facility		$44,945.62	$65,879.63	$78,393.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,500.68 / $1,918.47 / $2,578.44	Professional		$1,500.68	$1,918.47	$2,578.44
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $26,100.00 / $51,981.00	Facility		$3,340.00	$26,100.00	$51,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,151.35 / $1,666.59 / $2,571.77	Professional		$1,151.35	$1,666.59	$2,571.77